Search Results (568)

The rapid integration of Artificial Intelligence Assistive Technology (AIAT) into higher education has generated new avenues for visually impaired university students, primarily in enhancing accessibility, self-autonomy, and academic performance. This study examined associations between AIAT-related perceptions and mental-health indicators (depression, anxiety, and stress) among visually impaired higher education students in the Kingdom of Saudi Arabia (KSA). A quantitative research approach was employed, using a self-administrated questionnaire targeting 390 visually impaired students in KSA universities. Partial least squares structural equation modelling (PLS-SEM) was employed as the main data analysis technique. The findings emphasised two important issues. First, performance expectancy (PE) of AIAT adoption, Effort expectancy (EE), and social influence (SI) are forceful psychological facilitators that can buffer against the feeling of depression and anxiety in visually impaired university students. Second, minimising the feeling of stress requires more than the existence of good infrastructure or social support; it necessitates systemic and ongoing interventions, comprising proactive university support, an accessible learning context, and personalised training programmes. These insights highlight the need for implementing inclusive support systems that combine technological, psychological, and university dimensions to promote the advantages of AIAT adoption for visually impaired students. Full article

AI-based assistive technologies (AIATs) are increasingly recognised as essential tools to enhance accessibility, independence, and inclusion for visually impaired students in higher education. However, limited evidence exists regarding the determinants of their acceptance and use, particularly in terms of psychosocial factors. This study aimed to extend the Unified Theory of Acceptance and Use of Technology (UTAUT) by incorporating physical self-esteem (PSE) as a moderator and behavioural intention (BI) as a mediator within a single model. Data were collected through a validated questionnaire administered to 395 visually impaired undergraduates across five Saudi universities. Constructs included effort expectancy (EE), performance expectancy (PE), facilitating conditions (FCs), social influence (SI), BI, and PSE. Partial Least Squares Structural Equation Modelling (PLS-SEM) was used for analysis. Results showed that PE and SI significantly predicted both BI and adoption, while EE strongly predicted BI but not AIAT adoption; FC had no significant influence on either outcome. BI positively affected AIAT adoption and mediated the effects of PE, EE, and SI, but not FC. Moderation analysis indicated that PSE strengthened the influence of PE, EE, and SI on BI and adoption. These findings underscore the significance of psychological factors, particularly self-esteem, in promoting the adoption of AIAT and offer guidance for developing inclusive educational strategies. Full article

Background: Peritoneal dialysis (PD) depends on patients’ self-management abilities, supported by nursing interventions that extend beyond technical skills to include psychosocial and educational domains. Evidence from Saudi Arabia on how these behaviors relate to clinical and quality-of-life outcomes remains limited. Aim: To assess self-management behaviors among adult PD patients, examine their associations with clinical and quality-of-life outcomes, and explore the mediating role of emotional well-being, with implications for nursing practice. Methods: A descriptive cross-sectional study was conducted among 158 adult PD patients at King Saud University-affiliated centers in Riyadh. Validated Arabic versions of the Chronic Illness Self-Management Scale and KDQOL-SF were administered. Clinical indicators were extracted from medical records. Data were analyzed using descriptive statistics, t-tests, multivariate linear regression, and mediation analysis. Results: Technical skills achieved the highest self-management scores (mean 3.78 ± 0.62), while emotional coping was lowest (mean 2.71 ± 0.69). Participants with higher self-management had fewer hospitalizations (0.9 ± 0.5 vs. 1.6 ± 0.8, p = 0.01), higher serum albumin (3.60 ± 0.56 vs. 3.44 ± 0.61 g/dL, p = 0.04), and better emotional well-being (60.1 ± 14.9 vs. 55.3 ± 12.4, p = 0.03) than their counterparts. Educational level (β = 0.208, p = 0.001) and emotional well-being (β = 0.197, p = 0.001) were independent predictors of self-management, with partial mediation by emotional well-being (indirect β = 0.062, p = 0.004). Conclusions/Clinical Implications: Optimizing nursing support for PD patients requires moving beyond technical instruction to address health literacy, emotional resilience, and culturally sensitive education. Nurse-led interventions integrating psychosocial support with skill-building may enhance self-management, reduce hospitalizations, and improve quality of life in PD populations. Full article

Background/Objectives: In the age of digitalization, nomophobia has emerged as a relevant issue, especially among university students who utilize smartphones heavily for academic and social purposes. The Stressor–Strain–Outcome (SSO) framework explains the relationship between stressors, strain, and outcomes. Stressors such as nomophobia induce psychological strain. This strain subsequently influences outcomes like mindfulness. Nomophobia has been linked to higher distress, including depression, anxiety, and stress, that can negatively impact students’ focus. However, the mechanisms by which nomophobia impacts mindfulness remain less explored. Hence, this study aims to analyze the mediating effect of distress on the relation between student’s nomophobia and mindfulness. Methods: In this quantitative study, the researcher employed a structured close-ended survey to collect data from 723 students at the University of Ha’il in Saudi Arabia. Nomophobia was measured using the Nomophobia Questionnaire (NMP-Q). The level of distress was measured using the Depression, Anxiety, and Stress scale (DASS-21) Furthermore, the assessment of mindfulness was conducted using the Mindful Attention Awareness Scale (MAAS). Structural equation modeling was utilized to test the hypotheses of this study. Results: The results from PLS-SEM indicate that nomophobia did not directly reduce mindfulness, as its effect was statistically non-significant (β_1 = −0.052, p-value = 0.168). This suggests that nomophobia alone may not weaken focus. However, it significantly increased distress, particularly depression (β_2a = 0.327, p-value < 0.001), anxiety (β_2b = 0.294, p-value < 0.001) and stress (β_2c = 0.259, p-value < 0.001). In plain terms, students with higher nomophobia reported more depression and stress, which in turn reduced mindfulness. Anxiety, however, did not significantly affect mindfulness (β_3b = 0.006, p-value < 0.933), indicating its influence may be negligible or context-specific. Mediation analysis confirmed indirect effects of nomophobia on mindfulness through depression (β_4a = −0.096, p-value < 0.001) and stress (β_4c = −0.045, p-value < 0.020). Together, these mediators explained a substantial portion of the variance in mindfulness. Conclusions: The findings align with the SSO model, indicating that nomophobia acts as a stressor, exacerbating distress, which in turn reduces mindfulness. From a practical perspective, the results highlight the need for comprehensive student support. Universities should integrate digital wellness programs, stress-management resources, and mindfulness training into their services. Limitations and Future Research: The cross-sectional design and convenience sampling restrict causal inference and generalizability. Future studies should employ longitudinal research designs. They should also examine diverse cultural contexts. In addition, researchers should investigate potential mediators such as social support and sleep quality. Full article

The use of artificial intelligence (AI) in Translation Quality Assessment (TQA) has emerged as an exciting new line of research hoping to explore the potential of this revolutionary technology within the field of translation studies in general and its effect on translator training ecosystem. The aim of this study is to explore how AI’s evaluation of students’ legal translations aligns with instructors’ evaluations and to look at the potential benefits and challenges of using AI in evaluating legal translations tasks. Ten anonymous copies of instructor-graded English-to-Arabic mid-term exam translations were collected from an undergraduate legal translation course at a Saudi university and evaluated using ChatGPT-4o. The system was prompted to detect the translation errors and score the exam using the same rubric that was used by the instructors. A manual segment-by-segment comparison of ChatGPT-4o and human evaluations was conducted, categorizing errors by type and assessing alignment by comparing the scores statistically to determine if there were significant differences. The results indicated a high level of agreement between ChatGPT-4o and the instructors’ evaluation. In addition, paired sample t-test comparisons of instructor and ChatGPT-4o scores indicated no statistically significant differences (p > 0.05). Feedback provided by ChatGPT-4o was clear and detailed, offering error explanations and suggested corrections. Although such results encourage effective integration of AI tools in TQA in translator training settings, strategic implementation that balances automation with human insight is essential. With proper design, training, and oversight, AI can play a meaningful role in supporting modern translation pedagogy. Full article

Background: The Hajj pilgrimage, a significant religious event, presents unique health challenges due to the large number of participants and the physical demands of the pilgrimage. Despite efforts by Saudi health authorities to provide comprehensive health services, the effectiveness of these interventions relies heavily on pilgrims’ knowledge of available services and emergency measures. Objectives: The aim of this study is to assess the level of knowledge of health services among Hajj pilgrims in Saudi Arabia during the 1445 H (2024 G) season and its associated demographic and health-related factors. Methods and Materials: This cross-sectional study was conducted during the 1445 H (2024 G) Hajj season with 1215 pilgrims, 51.7% male. Participants were randomly selected from selected pilgrimage accommodations or passing through the airport in Jeddah. Data were collected through face-to-face interviews using a structured questionnaire covering demographics, health characteristics, and knowledge of health services. Results: The study found that 62.1% of participants correctly believed that health services during Hajj were free of charge. Furthermore, 44.4% were aware of the emergency health number, with 31.5% exhibiting good knowledge. Bivariate analysis showed that younger participants had better knowledge (p < 0.001), and males were more likely than females to demonstrate partial or good knowledge (p = 0.011). Participants with university education were significantly more likely to have good knowledge, with 29.6% demonstrating good knowledge compared to 7.4% of illiterate participants (p < 0.001). Geographic region was also a factor, with 48.9% of Middle Eastern participants exhibiting good knowledge, compared to 27.1% of African and 23.6% of Asian participants (p < 0.001). However, multivariable logistic regression, revealed that only younger age (OR = 0.98, p = 0.005), university education (OR = 1.96, p = 0.024), and being from the Middle East (OR = 1.61, p = 0.009) were significant predictors of good knowledge of health services. Conclusions: The study identified significant gaps in pilgrims’ knowledge of health services during Hajj, with younger age, higher education, and Middle Eastern geographic region identified as independent predictors of better knowledge. These findings suggest the need for targeted health education initiatives, particularly for older pilgrims, those with lower educational attainment, and individuals from regions with lower awareness levels, to improve knowledge and potentially enhance health outcomes during Hajj. Full article

Background: Early preventive dental visits are critical to reducing oral diseases in children and establishing lifelong oral hygiene behaviors. The American Academy of Pediatric Dentistry (AAPD) recommends that a child’s first dental visit occur by age one. However, in Saudi Arabia, limited evidence exists on parental awareness, attitudes, and barriers toward this recommendation. Objective: This study aimed to evaluate the timing of the first dental visit among Saudi children and to identify parental knowledge, barriers, and sociodemographic factors associated with compliance with AAPD guidelines. Materials and Methods: A cross-sectional survey was conducted between April and July 2025 at the Pediatric Dental Clinic, King Saud University, Riyadh. A validated, self-administered Arabic questionnaire was distributed both online and in-clinic to Saudi parents of children under 12 years. A total of 465 completed responses were analyzed using descriptive statistics, chi-square tests, logistic regression, and Spearman correlation to assess associations between parental awareness, socioeconomic variables, and compliance. Results: Of the 465 respondents, 39.6% were aware of AAPD guidelines, yet only 30.5% reported compliance with the recommendation of a dental visit by age one. The most cited barriers were lack of time (42%), difficulty accessing clinics (22%), shortage of pediatric dentists (20%), and lack of awareness (16%). Higher parental education (p = 0.003) and income (p < 0.001) were significantly associated with compliance. A moderate positive correlation was observed between early dental visits and regular annual check-ups (ρ = 0.319). Conclusions: Compliance with AAPD guidelines among Saudi parents remains low, largely due to limited awareness and access barriers. Strengthening parental education, community-based programs, and affordable pediatric dental services is essential to promote preventive care and improve oral health outcomes in children. Full article

Background/Objectives: Low HPV vaccine uptake persists in Saudi Arabia despite improving awareness. This study aimed to assess the level of awareness, knowledge, and uptake of the human papillomavirus (HPV) vaccine among female medical students in Saudi Arabia, and to identify key demographic, academic, and informational factors that predict vaccination behavior. It also sought to explore perceived barriers influencing vaccine acceptance within this population. Methods: A multi-center cross-sectional survey recruited 246 female medical students from five Saudi universities using convenience sampling. An anonymous, structured, and validated questionnaire assessed HPV/vaccine knowledge, attitudes, uptake, and perceived barriers. Data were analyzed using descriptive statistics, t-tests, ANOVA, correlation, and logistic regression. Results: Overall, 82.9% of participants had heard of HPV and 78.9% knew of the vaccine, but only 10.3% demonstrated high vaccine-specific knowledge. While 69.5% expressed willingness to be vaccinated, only 22.8% had received at least one dose. The most reported barriers were perceived lack of necessity (45.3%), abstinence from sexual activity (41.3%), and safety concerns (34.7%). Logistic regression indicated that higher academic year and higher vaccine-specific knowledge significantly predicted vaccine uptake (p < 0.001). Conclusions: Despite high general awareness, low vaccine-specific knowledge and cultural framing constrain HPV vaccine uptake among future prescribers. Universities should integrate cancer-prevention framing into curricula, strengthen female-to-female counseling, and provide on-campus vaccination opportunities. Addressing knowledge gaps and sociocultural barriers is critical to improving HPV vaccine coverage in Saudi Arabia. Full article

Background/Objectives: Understanding the medication prescribing patterns in pediatric primary care is essential for informing policy and clinical practice. In the Kingdom of Saudi Arabia (KSA), and following the 2018 antibiotic restriction policy, limited data exist on the patterns, types, and regimens of antibiotics prescribed during routine family medicine visits for children. This pharmacoepidemiological study aimed to describe the antibiotic prescribing patterns in a university-affiliated model primary healthcare center. Methods: A retrospective chart review was conducted for all the pediatric visits (<14 years) to general family medicine clinics between January and December 2024. Demographic characteristics, visit type, diagnosis, and antibiotic prescription details such as medication class, route, frequency, and duration were extracted from electronic medical records and analyzed descriptively. Results: Among the 2036 pediatric visits, 705 (34.63%) resulted in at least one prescription. Of these, 87 visits (12.34%) included an antibiotic. The most frequently prescribed antibiotic classes were nitroimidazoles (39.29%), penicillins (36.90%), and macrolides (10.71%). Penicillins were typically prescribed for 7 days twice daily as suspensions. Among the non-antibiotic prescriptions, vaccines, nutritional supplements, and analgesics were the most common. Follow-up consultations accounted for 34.09% of all the visits. Conclusions: A lower proportion of antibiotic prescriptions was found when compared to regional and international reports, which may reflect the impact of the antibiotic restriction policy in the country. The findings suggest a shift toward more cautious prescribing in primary care and align with the national efforts to regulate antimicrobial use. Ongoing surveillance of the prescribing trends is essential to evaluate the long-term effectiveness of these measures. Full article

Introduction: With global protein demand rising, edible insects offer a nutrient-rich and environmentally sustainable alternative protein source that could help address both dietary and ecological challenges. This study investigates the attitudes, perceptions, and willingness of Saudi university students to consume edible insects (entomophagy) as an alternative protein source, with implications for public health, nutrition, and food security across the Arab region. Methods: A cross-sectional survey was conducted among 1711 students (34.4% men, 65.6% women) from multiple Saudi universities. The Eating Attitudes Questionnaire (EAQ) assessed disgust, interest, and attitudes toward using insect-based feed for animals, as well as measures of environmental concern, health risk beliefs, and social influences. Results: Significant gender differences were observed in willingness: men reported higher willingness to consume edible insects (21.1%) compared with women (8.5%). They also reported lower disgust scores, higher interest, greater environmental concern, and lower health risk beliefs. Regression analysis showed that positive attitudes toward using insects as animal feed, interest, environmental concern, and social influences were strong predictors of willingness, whereas disgust and health risk beliefs were negative predictors. Previous experience, familiarity, and religious beliefs were not significant predictors. Conclusions: These findings highlight the importance of targeted interventions that reduce psychological barriers and promote willingness to try edible insects, thereby contributing to Saudi Arabia’s efforts to strengthen food security and advance sustainable nutrition strategies within the kingdom and the broader Arab region. Full article

The transition to university is a critical period for establishing lifelong health habits, particularly in Saudi Arabia, where non-communicable diseases linked to lifestyle are increasingly prevalent. To address this, our study sought to comprehensively assess lifestyle behaviors, mental health status, and their combined impact on health-related quality of life (HRQoL) among students at King Khalid University. We conducted a cross-sectional study between September 2024 and February 2025, recruiting 865 undergraduates via a two-stage stratified random sampling technique. Data were collected using a validated online questionnaire that included the FANTASTIC lifestyle and EuroQol 5-Dimension 3-Level (EQ-5D-3L) instruments. Our study population exhibited a significant health burden; 37.6% were overweight or obese, 55.9% reported anxiety or depression, and 36.1% experienced pain or discomfort. Although the mean lifestyle score was generally positive, regression analysis revealed that anxiety/depression was the strongest predictor of a poorer lifestyle (OR = 2.94, 95% CI: 2.02–4.28). This study concludes that a profound negative association exists between mental health, lifestyle, and overall HRQoL, highlighting the urgent need for integrated wellness policies and support systems within the university setting to address these interconnected challenges. Full article

Background/Objectives: Existing research has highlighted the stress associated with the transition from student to practitioner among newly hired nurses, often resulting in diminished professional quality of life (ProQOL). However, there remains a dearth of understanding regarding the impact of the teaching methods during the COVID-19 pandemic on this transition period. This study aims to test a model assessing the mediating role of ProQOL in the association between structural empowerment and successful transition among newly hired nurses who underwent education during the COVID-19 pandemic. Methods: This study utilized a cross-sectional correlational design and was conducted in two university hospitals and four government hospitals in Saudi Arabia. The study sample was selected using purposive sampling. The Casey–Fink Graduate Nurse Experience Survey, the Arabic version of the ProQOL version 5, and the Conditions for Workplace Effectiveness Questionnaire Second Arabic version were used in the study. Data were analyzed using the Statistical Package for Social Sciences (SPSS) Version 28.0.1.1. The model was examined using Hayes’ process macro. Results: Structural empowerment significantly predicts successful transitions, both directly and indirectly through its impact on ProQOL. Conclusions: Nurse managers should employ optimal strategies and innovative structures within orientation programs to effectively facilitate the transition of Saudi graduate nurses. Moreover, nursing leaders and policymakers should leverage the increased attention garnered during the COVID-19 pandemic to enhance structural empowerment among newly hired nurses, thereby improving their transition and overall well-being. Structural empowerment was a direct and indirect predictor of successful transitions. Full article

Background/Objectives: The transition from theoretical knowledge to clinical practice poses significant challenges for nursing students globally. This critical period requires comprehensive educational support to build confidence and competence. While short-term preparatory courses have shown promise internationally, their effectiveness within the Saudi Arabian context remains understudied. This study aimed to evaluate nursing students’ satisfaction and self-confidence following participation in short-term preparatory courses conducted before clinical placements at Taibah University, Saudi Arabia. Methods: A descriptive cross-sectional study was conducted from February to April 2025. Data were collected from 117 undergraduate nursing students (response rate: 80.7%) using a validated questionnaire adapted from the National League for Nursing’s Student Satisfaction and Self-Confidence in Learning instrument. The preparatory courses included nursing care plan development, hospital orientation, and infection control procedures delivered over two weeks. Statistical analysis included descriptive statistics and Pearson correlation analysis. Results: Students reported high levels of satisfaction (mean = 4.29 ± 0.92) and self-confidence (mean = 4.31 ± 0.81) scores. The highest satisfaction was with instructor effectiveness (mean = 4.31 ± 1.05) and teaching methods (mean = 4.32 ± 1.01). Students demonstrated strong confidence in personal learning responsibility (mean = 4.44 ± 0.88) and skill development (mean = 4.32 ± 0.95). A strong positive correlation existed between satisfaction and self-confidence (r = 0.79, p < 0.001). Conclusions: Short-term preparatory courses effectively enhanced nursing students’ satisfaction and self-confidence in the Saudi Arabian context. The strong correlation between these constructions suggests that educational interventions improving one dimension is likely to benefit the other. These findings support integrating structured preparatory programs into nursing curricula to facilitate successful clinical transitions. Full article

Background: Several studies have examined the prevalence of musculoskeletal pain (MSP) among university students internationally. We aimed to assess the prevalence, pattern, and potential risk factors for MSP among Majmaah University students in Saudi Arabia. Methods: A cross-sectional questionnaire was administered to students from different faculties at Majmaah University. We collected data via the validated Arabic versions of the Standardized Nordic Musculoskeletal Questionnaire, the International Physical Activity Questionnaire, and the Perceived Stress Scale. Bivariate and multivariate logistic regression analyses were performed to explore associations between MSP and demographic, ergonomic, lifestyle, and psychosocial variables. Results: A total of 257 students (n = 195, 75.9% female; n = 62, 24.1% male) were included in this study. The 12-month prevalence of MSP was 225 (87.5%), with the lower back (n = 119, 46.3%) and neck (n = 113, 44.0%) regions being the most affected. Compared with male students, female students reported a higher MSP prevalence (90.3% vs. 79.0%, p = 0.035). The multivariable model was significant (likelihood-ratio χ² = 26.042, df = 7, p < 0.001), accounted for Nagelkerke R² = 0.182 of variance, and showed good calibration (Hosmer–Lemeshow χ² = 8.505, df = 8, p = 0.386). Perceived stress was the only independent predictor of 12-month MSP (β = 0.084, adjusted OR = 1.087, 95% CI 1.034–1.143, Wald χ² = 10.732, p = 0.001), while sex, smoking, academic workload, and sleep duration were non-significant (all p > 0.127). Conclusions: MSP appears to be prevalent among Majmaah University students, with psychological stress emerging as a key independent risk factor. Preventive strategies should include stress management prioritization and ergonomic and physical activity education to support university student well-being. Full article

Background: Hepatitis presents a major health and economic challenge in Saudi Arabia, necessitating insight into its epidemiology, risk factors, and control measures. This review aims to synthesize current evidence on the epidemiology, risk factors, and prevention strategies for viral hepatitis in Saudi Arabia. It evaluates the effectiveness of existing interventions and proposes data-driven approaches to advance national hepatitis elimination goals. Methods: This study reviewed data from 2016 to 2024, sourced from PubMed, Google Scholar, ResearchGate, and ScienceDirect, focusing on hepatitis epidemiology and prevention in Saudi Arabia. Studies relevant to Saudi-specific trends and prevention strategies were included. Results: Saudi Arabia has achieved significant reductions in viral hepatitis prevalence, notably HBV (1.3%) due to universal infant vaccination (98% coverage), and HCV (0.124%) through the Saudi National Hepatitis Program (SNHP), which provides free DAAs (95% cure rate) and has screened 5 million people. However, challenges persist: HAV susceptibility is rising in adults (seroprevalence 33.1%), HDV affects 7.7% of HBV patients, and key risk factors include socioeconomic disparities (higher HAV/HEV in rural/low-income areas), intravenous drug use (30–50% of HCV cases), unsafe medical/cultural practices (e.g., Hijama), and limited healthcare access for migrants/rural populations. While interventions like water sanitation initiatives (58% HAV decline) and prenatal screening are effective, advancing elimination goals requires addressing gaps in HDV/HEV surveillance, outdated seroprevalence data, equitable treatment access (35% lower in rural areas), stigma reduction, and targeted strategies for high-risk groups to meet WHO 2030 targets. Conclusions: Saudi Arabia has made significant progress in hepatitis control through vaccination and public health efforts, but challenges persist. Strengthening healthcare systems, improving community engagement, and ensuring equitable access are key to sustaining elimination efforts. Full article